1. Cardiogenic Auto-Triggering as a Consequence of Hemoperitoneum.
- Author
-
Grotberg JC, Wang BR, Eakin R, and Co IN
- Subjects
- Aged, Alkalosis, Respiratory diagnosis, Alkalosis, Respiratory therapy, Female, Humans, Shock, Hemorrhagic diagnosis, Shock, Hemorrhagic therapy, Alkalosis, Respiratory etiology, Hemoperitoneum complications, Hemoperitoneum therapy, Paracentesis, Respiration, Artificial adverse effects, Shock, Hemorrhagic etiology
- Abstract
A 70-year-old woman presented with hemorrhagic shock secondary to hemoperitoneum following a paracentesis. On hospital day 3, she developed respiratory alkalosis and increased respiratory rates observed on the ventilator despite no spontaneous inspiratory effort. Converting to pressure support mode uncovered a cardiogenic oscillatory flow that had been auto-triggering the ventilator. This cardiogenic auto-triggering resolved with large-volume paracentesis. Cardiogenic auto-triggering leads to patient-ventilator dyssynchrony, respiratory alkalosis, lung distension, and difficulty with weaning from the ventilator, and it may be unrecognized in ICUs., (Copyright © 2020 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.)
- Published
- 2020
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